Death Certificate - Saulmon, Susan A_1/10/2002• i °�..�.°° �
Olb-a�s��-�,
GIBSON COUNTY DEPARTMENT OF HEALTH
900 S. Prince St.
Princeton, Indiana 47670
812-385-3031
RECORD OF DEATH
THI9 I3 TO CERTIFY
thnt accordiag to the recorde of the Gibaon County Depart�eat of Health,
SIISAN A. SAIILMON
Died on 07/21/2001 at 5:40AM
Residence
510 Short St. � � � � �
Oaklattd City ZN
Age at death s 60 Yeare Sex: F
Mnrital Statue:
Cauee of death:
Married Coloi: V7hite
Respiratory Arrest, minutes
Lung Cancer 0 1 year.
chronic Tobacco Abuse.
eigsied by: Terry Gehlhausen, DO
H�y 64 Weat
Oakland City IN 47660
i
Place of burial Foraythe
� or removal:
. Oakland City IN 47660
Date of burial: 07/2a/2001
Puaeral home: Lamb-Hasham Memorial Chapel
I226 E. washington
, Oakland City IN 47660
I
S E A L
JAN 10 2002
GIBSC�! CGI:'iT': h'J�Ii�R
Signed by � G �`��G %'�
Gi Bon ounty ea Commissioner
Princeton Indiana o7/27/0l
eas ate
locally in Book No. 14 ?age No. 17 Filed: 07/27/2001
ZOQJ � FF'3 Oi�CZ l0/OT/TO
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